Wiki Billing Wound Repair (12032) for perm neurostimulators

mitzekelley

Networker
Messages
31
Best answers
0
Hello-my provider is wanting me to start billing CPT 12032 anytime he implants a perm spinal cord stimulator. I cannot locate rules on this, but seems like it would be bundled into the primary procedure unless stitching patient back up from his incision required more than normal repair. Does anyone have an info on this I can provide to him?
 
From the NCCI Manual
Chapter CHAPTER III section L.9
:

"Closure/repair of a surgical incision is included in the global surgical package except as noted below. Wound repair CPT codes 12001-13153 shall not be reported separately to describe closure of surgical incisions for procedures with global surgery indicators of 000, 010, 090, or MMM. Simple, intermediate, and complex wound repair codes may be reported with Mohs surgery (CPT codes 17311-17315). Intermediate and complex repair codes may be reported with excision of benign lesions (CPT codes 11401-11406, 11421-11426, 11441-11471) and excision of malignant lesions (CPT codes 11600-11646). Wound repair codes (CPT codes 12001-13153) shall not be reported with excisions of benign lesions with an excised diameter of 0.5 cm or less (CPT codes 11400, 11420, 11440)."
 
Top